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To Ice or Not to Ice your injury? – Sacha Bhandal

If you use common sense, ice has always been recommended when a body part is in a state of inflammation, especially during the acute stage. Heat is recommended to relax muscle spasms and general stiffness of muscles and joints. This has been taught and educated for so long, however, what if there is a possibility that this is not the best recommendation and that we have it all wrong? Just keep your mind open instead of being defensive.

The question that we need to ask is what does the evidence state in terms of Heat versus Ice?

A 2012 study in the British Journal of Sports Medicine found no clinical studies of the effectiveness of ice after acute muscle strains. According to a 2013 study that was published in the Journal of Strength and Conditioning Research it found ice to delay recovery from eccentric exercise induced muscle damage. Other studies have found icing to be counterproductive in the long run. Dr. Gabe Mirkin, who is the assistant professor at the University of Maryland, was the one who coined the term “RICE”(Rest, Ice, Compression and Elevation) in his Sports Medicine book published in 1978. Even he has changed his mind and admits and nobody rests injuries anymore and there is no data that shows ice does anything but block pain. He even stated that there is data that shows ice delays healing.

However, despite this, if you watch specific athletes in professional sports during and after their games they still continue to put ice packs on their knees and shoulders. There is no evidence to support its use, except that it may numb the pain temporarily. It is unfortunate that athletes are still being educated to use ice based on old information when in fact there is no good evidence to support its use.

When an individual has injured themselves such as spraining their ankle, the number one thing to focus on is improving function right away. Its all about getting the person to perform gentle resistance exercises using an elastic/theraband, or performing traction to the ankle using the band as early as possible. You can try this for other body parts too. Some trainers and exercise physiologists are saying no to “RICE”. One notable exercise physiologist who runs a training facility in Toronto recommends Movement, Elevation,Traction and Heat. He uses the acronym “METH”.

There are studies that show the benefits of heat when directly compared to using ice for injuries. For example in the Journal of Physiological Science, an injured rat Soleus (Calf) muscle was investigated by using ice and heat. It was found that heat was a beneficial treatment for successful muscle regeneration at least by reducing fibrosis in the muscle. Another study that looked at the influence of heat on muscle regeneration after a crush injury on the leg of rats also found that when heat was applied right after the injury it promoted muscle regeneration and inhibited collagen deposition.

What happens when heat is applied to the body? We know that heat promotes increased blood production as blood vessels dilate to the injured area. The increase in blood flow does bring chemicals, proteins and white blood cells to the injury. This does create a process called inflammation, which helps to initiate the healing process. These cells do help promote healing to the tissue that is injured.

What does ice do? Well ice constricts blood vessels and pushes these cells out of the area of injury. We do need these inflammatory cells to help repair the injury, whether its muscle, ligament, nerve or a tendon injury. Could this be why the evidence shows that healing is delayed with the use of ice? Its highly likely from my opinion.

I never use ice for any of my clients after their injuries even if the body part is swollen. I use movement, traction and heat to their body part. They have all recovered well and in a timely manner. I feel we need to move forward and adopt a more proactive approach to what the evidence is stating. Know what the evidence states but I also do agree that you should also listen to your body and do what feels right. Remember, “change is the only constant thing in life.” Don’t be resistant to change and don’t let your ego prevent you from hearing and adopting what could be better in the long term.
Until next time.

References:

1) Bizzine, Mario. Ice and Modern Sports Physiotherapy:still cook. Br J Sports Med 2012 46:219.

2)  Oakley, Elizabeth T, Pardeiro, Rafael B, Powell, Joseph W, Millar Audrey L. The effects of Multioke Applications of ice to the Hamstrings on Biochemical measures, Signs and Symptoms Associated with Exercise Induced Muscle Damage. Journal of Strength & Conditioning Research, 2013 Oct;27(10):2743-2751.

3) Hutchins, Aaron. Why ice doesn’t help an injury. May 20, 2014.

 

The post To Ice or Not to Ice your injury? – Sacha Bhandal appeared first on Tread Well .

 

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Many people experience limited range of motion and flexibility due to various factors such as aging, injury, or chronic conditions. This can impact daily life, making simple tasks difficult and causing discomfort or pain. Fortunately, chiropractic care has been proven to be an effective method for improving range of motion and flexibility. In this article, we will explore the benefits of chiropractic care and how it can help you regain your freedom of movement. Understanding Range of Motion and Flexibility Range of motion refers to the degree of movement around a joint, while flexibility is the ability of a muscle or group of muscles to lengthen and stretch. Both aspects are crucial for maintaining overall health and wellness, as they contribute to balance, strength, and the ability to perform daily tasks with ease. Causes of Limited Range of Motion and Flexibility There are several factors that can contribute to a limited range of motion and flexibility. These include: 1. Aging: As we age, our bodies naturally lose flexibility due to changes in the structure and composition of our muscles and connective tissues. 2. Inactivity: A sedentary lifestyle can lead to muscle stiffness and a decrease in overall flexibility. 3. Injury: Injuries can cause inflammation, scar tissue, and muscle imbalances, all of which can limit range of motion and flexibility. 4. Chronic conditions: Conditions such as arthritis, fibromyalgia, and others can cause pain and stiffness, which can negatively impact range of motion and flexibility. Chiropractic Care for Improved Range of Motion and Flexibility Chiropractic care is a holistic, non-invasive approach to healthcare that focuses on the diagnosis, treatment, and prevention of musculoskeletal disorders. By addressing the underlying causes of limited range of motion and flexibility, chiropractic care can help to improve overall wellness and restore freedom of movement. Here are some ways in which chiropractic care can help: 1. Spinal Adjustments: Chiropractors use spinal adjustments to correct misalignments in the spine, which can help to reduce inflammation, relieve pressure on nerves, and improve overall joint function. This can lead to increased range of motion and flexibility. 2. Soft Tissue Therapy: Chiropractors can use various techniques, such as massage and myofascial release, to address muscle stiffness and tightness. This can help to improve flexibility and reduce pain. 3. Stretching and Strengthening Exercises: Chiropractors can recommend specific stretches and exercises to help improve flexibility and strengthen the muscles that support your joints. This can help to improve range of motion and prevent future injuries. 4. Posture Correction: Poor posture can contribute to limited range of motion and flexibility. Chiropractors can provide guidance on proper posture and recommend exercises to help improve spinal alignment. Benefits of Improved Range of Motion and Flexibility There are numerous benefits to improving range of motion and flexibility, including: 1. Reduced Pain: Improved flexibility and range of motion can help to alleviate pain caused by muscle imbalances, stiffness, and joint dysfunction. 2. Enhanced Athletic Performance: Increased flexibility and range of motion can lead to improved athletic performance by allowing for greater movement efficiency and reduced risk of injury. 3. Improved Balance and Coordination: As range of motion and flexibility improve, so too does balance and coordination, making daily tasks easier and reducing the risk of falls and injuries. 4. Greater Independence: Improved range of motion and flexibility can lead to greater independence, particularly for older adults who may struggle with mobility. Experience the Benefits of Chiropractic Care at Tread Well At Tread Well, our team of expert medical practitioners is committed to providing the highest level of patient care and service. Don't let limited range of motion and flexibility hold you back any longer – contact Tread Well today to book your appointment and take the first step towards improved overall wellness.
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One of the most effective ways to help patients recover from injuries and surgeries or manage chronic pain is through the use of custom bracing. Tread Well, a renowned clinic for physiotherapy, massage therapy, and chiropractic care in Burlington, Ontario, offers a wide range of custom bracing options to suit the individual needs of their patients. This guide will explore the various bracing options available at Tread Well, their benefits, and how to determine the best bracing solution for your specific needs. What is Custom Bracing? Custom bracing, also known as orthopedic bracing or supports, are medical devices designed to provide support, stability, and protection to various parts of the body that are affected by injuries, surgeries, or chronic pain. They are tailor-made to fit the patient's unique anatomy and specific condition, ensuring optimal comfort and effectiveness. Types of Custom Braces Offered by Tread Well: 1. Knee Braces: These braces provide support and stability to the knee joint, helping to alleviate pain and prevent further injury. They are often used by patients recovering from surgery, those with chronic knee conditions, or athletes looking to prevent injuries during sports activities. Tread Well offers custom knee braces made from lightweight and durable materials that ensure a comfortable and supportive fit. 2. Ankle Braces: Ankle braces are designed to stabilize and support the ankle joint, reducing pain and swelling caused by injuries such as sprains, strains, or fractures. Tread Well's custom ankle braces help patients regain mobility and confidence in their movement while ensuring proper alignment and support. 3. Back Braces: Back braces are used to provide support and pain relief for patients suffering from chronic back pain, spinal injuries, or recovering from back surgery. Tread Well's custom back braces are specifically designed to maintain the natural curvature of the spine while offering support and stability to the affected area. 4. Wrist Braces: Wrist braces are commonly prescribed for patients recovering from wrist injuries or surgery, as well as those suffering from carpal tunnel syndrome or other repetitive stress injuries. Tread Well's custom wrist braces offer both support and protection to the wrist joint, allowing for a faster recovery and improved function. 5. Elbow Braces: Elbow braces are used to support the elbow joint and surrounding muscles, reducing pain and inflammation caused by injuries or overuse. Tread Well's custom elbow braces are designed to provide optimal support and comfort while allowing for a full range of motion. 6. Shoulder Braces: Shoulder braces are ideal for patients recovering from shoulder surgery, rotator cuff injuries, or dislocations. Tread Well's custom shoulder braces are specifically designed to provide support and stability to the shoulder joint while promoting proper healing and preventing re-injury. Benefits of Custom Bracing: - Improved support and stability to the affected area - Custom-fit for optimal comfort and effectiveness - Faster recovery and return to daily activities - Reduced pain and inflammation - Prevention of further injury and re-injury How to Choose the Right Custom Brace: To determine the best custom bracing option for your specific needs, it is essential to consult with a qualified medical practitioner. The team of experts at Tread Well will assess your condition, discuss your medical history, and recommend the most suitable type of brace to address your specific requirements. Factors that are considered when recommending a custom brace include the nature of the injury, your physical activity level, and your personal preferences.  Don't let pain or injury hold you back from living your best life. The team at Tread Well - Physiotherapy, Massage & Chiropractic is here to help you get back on track with our wide range of custom bracing options. Contact us today to book an appointment and regain your mobility, independence, and confidence.
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